NRS433V Week 5 Research Critiques and PICOT Statement Final Draft

NRS433V Week 5 Research Critiques and PICOT Statement Final Draft

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.

PICOT Question

Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.

The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

General Requirements

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

NRS433V Week 5 Research Critiques and PICOT Statement Final Draft

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Course Code NRS-433V Class Code NRS-433V-O502 Criteria Content Percentage 60.0% Evidence of Revision 10.0% Nursing Practice Problem and PICOT Question 5.0% Background of Studies 5.0% Method of Studies 5.0% Results of Studies 5.0% Ethical Considerations 5.0% Conclusion 5.0% PICOT Question, Research Articles, and Nursing Practice Problem Relationship 10.0% Proposed Evidence-Based Practice Change 10.0% Organization and Effectiveness 30.0% Thesis Development and Purpose 10.0% Argument Logic and Construction 10.0% Mechanics of Writing (includes spelling, punctuation, grammar, language use) 10.0% Format 10.0% Paper Format (use of appropriate style for the major and assignment) 5.0% Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0% Total Weightage 100% Assignment Title Research Critiques and PICOT Statement Final Draft 1: Unsatisfactory (0.00%) Final paper does not demonstrate incorporation of feedback or evidence of revision on research critiques. A nursing practice problem is not clearly described or a PICOT question is not included. Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is incomplete. Discussion of method of studies, including discussion of conceptual/theoretical framework, is incomplete. Discussion of studies results, including findings and implications for nursing practice, is incomplete. Discussion of ethical considerations associated with the conduct of nursing research is incomplete. Conclusion does not summarize a critical appraisal and applicability of findings. Discussion of the relationship between the PICOT question, research articles, and nursing practice problem is not included. The proposed evidence-based practice change is not included. Paper lacks any discernible overall purpose or organizing claim. Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Template is not used appropriately or documentation format is rarely followed correctly. Sources are not documented. Total Points 300.0 2: Less Than Satisfactory (75.00%) Incorporation of research critique feedback or evidence of revision is incomplete. PICOT question describes a nursing practice problem but lacks reliable sources. Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is included but lacks relevant details and explanation. Discussion of method of studies, including discussion of conceptual/theoretical framework, is included but lacks relevant details and explanation. NRS433V Week 5 Research Critiques and PICOT Statement Final Draft
Discussion of studies results, including findings and implications for nursing practice, is included but lacks relevant details and explanation. Discussion of ethical considerations associated with the conduct of nursing research is included but lacks relevant details and explanation. Conclusion is vague and does not discuss importance to nursing. Discussion of the relationship between the PICOT question, research articles, and nursing practice problem is incomplete or incorrect. The proposed evidence-based practice change is incomplete or incorrect. Thesis is insufficiently developed or vague. Purpose is not clear. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. 3: Satisfactory (83.00%) Incorporation of research critique feedback and evidence of revision are present. PICOT question describes a nursing practice problem and includes a few reliable sources. Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is partially complete and includes some relevant details and explanation. Discussion of method of studies, including discussion of conceptual/theoretical framework, is partially complete and includes some relevant details and explanation. Discussion of studies results, including findings and implications for nursing practice, is partially complete and includes some relevant details and explanation. Discussion of ethical considerations associated with the conduct of nursing research is partially complete and includes some relevant details and explanation. Conclusion summarizes utility of the research and importance to nursing practice. Discussion of the relationship between the PICOT question, research articles, and nursing practice problem is included but lacks relevant details and supporting explanation. The proposed evidence-based practice change is included but lacks supporting explanation and relevant details. Thesis is apparent and appropriate to purpose. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Template is used, and formatting is correct, although some minor errors may be present. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. 4: Good (94.00%) Evidence of incorporation of research critique feedback and revision is clearly provided. PICOT question articulates a nursing practice problem using supporting information from reliable sources. Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is complete and includes relevant details and explanation. Discussion of method of studies, including discussion of conceptual/theoretical framework, is complete and includes relevant details and explanation. Discussion of studies results, including findings and implications for nursing practice, is complete and includes relevant details and explanation. Discussion of ethical considerations associated with the conduct of nursing research is complete and includes relevant details and explanation. Conclusion summarizes utility of the research from the critical appraisal and the importance of the findings to nursing practice. Discussion of the relationship between the PICOT question, research articles, and nursing practice problem is complete and includes relevant details and supporting explanation. The proposed evidence-based practice change is complete and includes supporting explanation and relevant details. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Template is fully used; There are virtually no errors in formatting style. Sources are documented, as appropriate to assignment and style, and format is mostly correct. 5: Excellent (100.00%) Evidence of incorporation of research critique feedback and revision is comprehensive and thoroughly developed. PICOT question clearly articulates a nursing practice problem using substantial supporting information from numerous reliable sources. Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is thorough with substantial relevant details and extensive explanation. Discussion of method of studies, including discussion of conceptual/theoretical framework, is thorough with substantial relevant details and extensive explanation. Discussion of studies results, including findings and implications for nursing practice, is thorough with substantial relevant details and extensive explanation. Discussion of ethical considerations associated with the conduct of nursing research is thorough with substantial relevant details and extensive explanation. Comments Conclusion summarizes utility of the research from the critical appraisal, knowledge learned, and the importance of the findings to nursing practice. Discussion of the relationship between the PICOT question, research articles, and nursing practice problem is extremely thorough with substantial relevant details and extensive supporting explanation. The proposed evidence-based practice change is extremely thorough and includes substantial supporting explanation and numerous relevant details. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. Argument is clear and convincing and presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. Writer is clearly in command of standard, written, academic English. All format elements are correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Points Earned Running Head: TITLE OF THE PAPER TITLE NAME SCHOOL CLASS DATE Title of the Paper The first paragraph is always an introduction. You will describe what the practice problem is and why this is a problem. One of the graded sections is “Nursing Practice Problem and PICOT Question”. This can be done in the introduction. The final sentence of your introduction will be your purpose statement. “The purpose of this paper will be to review two quantitative and two qualitative research articles and the significance to the practice problem. Background You will review all four of the previous articles. The background information is about the research articles and not the practice problem and should include the problem, significance to nursing, purpose, objective and research questions. You can combine information if two papers have the same general purpose but you need to state that. You need to identify the articles like this: The first article, How to Rob a Bank, by H Hoff, discussed….. Don’t try to be too creative in your work. You need to state the items that need to be address. “The purpose of this paper was…., the significance to nursing was… Method This is the same information as the previous assignments. What I am looking for is to see who the research was developed. Who participated, how many, what were the inclusion, exclusion criteria, etc. The rubric asks for the conceptual/theoretical framework of the research. If you can find that, include it in the final paper, if not, then don’t stress. It can be hard to find and sometimes it is not included in the publications. Results The results should be similar to what you submitted for the last two assignments. For qualitative studies, I want to see the themes from the interviews or peer groups and for quantitative studies, I want to see numbers. What % of differences were there, etc. PICOT and article Relationship You need to describe the relationship between the PICOT question the research articles and the nursing practice problem you identified. You are simply tying things together at this point. You should have references and support your position in this sections. Proposed Evidence Based Practice Change This is an important section. You want to describe a potential practice change that YOU could implement in your clinical area based upon the research you have done. This can be an actual change you plan to make or simply a discussion of a change, but you need to describe a change that can take place. Ethical Considerations Same as the other papers. You will briefly describe the ethical considerations that were taken to protect the participant’s privacy. Conclusion The conclusion is just a review of what you discussed in the paper. You can address the practice problem and how the evidence supports the practice change that you will be implementing. Important things to remember 1 There is a significant % of this paper that looks at if you made changes based upon the feedback that I have given you. So go back and look at my comments. 2 Formatting matters. Be sure to use headings in the paper. 3 References – You MUST include citations when you are describing the studies. 4 It is OK to go over the word count. NRS433V Week 5 Research Critiques and PICOT Statement Final Draft
I would rather you go over the count and include all of the information than stay under the count and not include the information. 5 If the rubric addresses a topic, you should include this as a section of your paper. As always, please ask me questions if you are not sure of something. Clinical Issues Summary Nurses are the most affected by burn out and job dissatisfaction in the profession. This can be attributed to the nature of their work and the overall demands of the profession. Ultimately, frustration from the patients can elevate the bedside nurse’s stress levels leading to burnout. Burn out, and job dissatisfaction is a course for concern, especially in busy health care in the system (Aiken et al., 2002). The issues bring about individual problems that yield widespread problems in the whole organization. For instance, a nurse may develop “neuroendocrine” related responses and, ultimately physiological outcomes that can result in illness. Within the organization, job dissatisfaction and increased burnout can result in the poor turn out and elevated absenteeism impacting health care delivery within the organization. Nurses who deal with patients daily are liable to workplace stress that yields elevated levels of burnout and subsequent job dissatisfaction (Aiken et al., 2002). The development of creative team building activities can help address the issue among nurses in various hospital settings while enhancing their overall job satisfaction. This is because such activities are meant to enhance nurse’s morale, increased communication, and trust that is very crucial in a clinical setting (Clark, 2009). Such activities enhance trust as well as improved morals in a clinic. The move creates a collaborative environment between colleagues as well as cooperation while integrating the team’s efforts in problemsolving. The activity can be organized individually, or it can integrate the whole organization. However, the involvement of the organization may limit the activities due to the need for money, but individual nursing cooperation can cut any cost required. They can set a particular day of how they can be a meeting taking into account their particular (Clark, 2009). Nice summary 2 Question: Do creative team building activities among the nurses relieve job dissatisfaction and minimize burn out levels in comparison to the nurses who do not undergo such activities? Interesting topic. I like it, and I bet you can find something that you could measure the satisfaction piece P- Bedside nurses I- Creative team building activities C-Nurses who do get involved in the building activities O-Enhanced job satisfaction and minimized burnout T-Undisclosed 3 Criteria APA-Formatted Article Citation with Permalink How Does the Article Relate to the PICOT Question? Quantitative, Qualitative (How do you know?) Purpose Statement Research Question Outcome Article 1 Article 2 Hayward, D., Bungay, V., Wolff, A. C., & MacDonald, V. (2016). A qualitative study of experienced nurses’ voluntary turnover: Learning from their perspectives. Journal of clinical nursing, 25(9-10), 1336-1345. By examining the factors that impacted the experienced nursing decided to leave nurse related jobs and seek other employment. Qualitative design – used a descriptive and interpretive approach Great To explore “nurses decision‐ making processes and the factors that led to the decision to leave” practice settings Factors that elevate the burses turnover rate as well as the reasons why they decided to leave practice settings? Billeter‐Koponen, S., & Fredén, L. (2005). Long‐term stress, burnout, and patient-nurse relations: qualitative interview study about nurses’ experiences. Scandinavian Journal of Caring Sciences, 19(1), 20-27. Themes identified: 1. Ineffective work relationship 2. Lack of support from the leadership 3. Workloads demands Article 3 Khowaja, K., Merchant, R. J., & Hirani, D. (2005). Registered nurse’s perception of work satisfaction at a Tertiary Care University Hospital. Journal of nursing management, 13(1), 32-39. By obtaining a concrete Stressed, frustrated, and demoralized comprehension of nurses’ experience nurses have a big impact on the delivery burnout and accumulative stress in of health care. the workplace. Qualitative design – tape-recorded semi-structured interviews. Perfect Descriptive qualitative research Perfect Nurses professionalism and patientnurse relations and the experience of long-lasting stress and burn out. Sought to explore burnout and job satisfaction as a leading cause of high turnover rates. Nurses experiences amid burnout and stress Do nurses feel comfortable and satisfied in the current working environment Themes identified: 1. Burnout experience, 2. Effects on the work, 3. The working situation, and support Themes identified 1. Burn out 2. Non‐supportive nursing management staff 3. Lack of respect 4 Setting (Where did the study take place?) Sample Method Key Findings of the Study Recommendations of the Researcher 4. Patient acuity Participant’s choice and convenience You can provide more detail on the setting 12 participants who were female Qualitative descriptive study Identification of themes that relate to burnout and job dissatisfaction such as Workload demands, professional relationships, and patients acuity. Acknowledges that appropriate means have to be integrated to develop working relationships, work demands, burnout, and stress. Different care institutions You can provide more detail on the setting Tertiary Care University Hospital You can provide more detail on the setting 10 nurses participated 45 nurses participated Qualitative tape-recorded semistructured interviews The study identified patient-nurse relations in the process of care delivery. Qualitative descriptive study Communication in the workplace is significant. Trust is equally significant and contributes to carrier growth Recognition of nurses, simplifying nursing documentation, and increasing recreational activities for nurses can help reduce the burnout and increase job satisfaction 5 This study identified different opportunities to offer breastfeeding education. Criteria APA-Formatted Article Citation with Permalink How Does the Article Relate to the PICOT Question? Quantitative, Qualitative (How do you know?) Purpose Statement Research Question Outcome Article 4 Article 5 Klopper, H. C., Coetzee, S. K., Pretorius, R., & Bester, P. (2012). Practice environment, job satisfaction, and burnout of critical care nurses in South Africa. Journal of Nursing Management, 20(5), 685-695. By assessing the practice environment, job satisfaction, and burnout Freeborn, D. K., Hooker, R. S., & Pope, C. R. (2002). Satisfaction and well-being of primary care providers in managed care. Evaluation & the health professions, 25(2), 239-254. …

NRS433V Week 5 Research Critiques and PICOT Statement Final Draft

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